A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?

The television set is turned to a loud volume.

The dining room table has low chairs with no armrests.

The bedroom extension cord is placed under a heavy nightstand.

The living room contains wall-to-wall carpeting.

Answer and Explanation

The Correct Answer is C

A.   The television set turned to a loud volume may not necessarily pose a safety hazard unless it disturbs others in the household or contributes to hearing damage. However, it is not a direct safety concern for the client.
B.   The dining room table having low chairs with no armrests could present a challenge for older adults when sitting down or getting up, but it is not an immediate safety hazard.
C.   The bedroom extension cord placed under a heavy nightstand is a safety hazard because it poses a risk of electrical fire if the cord becomes damaged or overloaded. The nurse should
intervene to relocate the extension cord to a safer location.

D. The presence of wall-to-wall carpeting in the living room is not necessarily a safety hazard unless it is loose or torn, posing a tripping hazard. However, it is not explicitly described as such in the scenario.

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Correct Answer is A

Explanation

A. Correct. An oil-based lubricant is used to facilitate the insertion of the nasogastric tube through the nasal passages into the stomach.
B. Incorrect. An enteric feeding pump is not necessary for nasogastric tube insertion for gastric decompression. It is used for enteral feeding, not tube insertion.
C. Incorrect. While sterile gloves are important for maintaining aseptic technique during the procedure, they are not specific to nasogastric tube insertion and decompression.
D. Incorrect. pH strips are used to measure the acidity or alkalinity of a substance and are not typically needed for nasogastric tube insertion for gastric decompression.

A. Complete an incident report. B. Allow the current solution to finish infusing, then change the bag. C. Document that an error occurred in the client's medical record. D. Remove the IV catheter E. Remove the IV catheter

Correct Answer is A

Explanation

A. Completing an incident report is crucial whenever an error occurs in patient care. This helps to ensure that the error is properly documented, investigated, and addressed to prevent recurrence and promote patient safety.
B. Allowing the incorrect solution to finish infusing could potentially harm the patient. Once the error is identified, the infusion should be stopped immediately, and corrective action should be taken.
C. Documenting that an error occurred in the client's medical record is important, but completing an incident report is a separate step that ensures a thorough investigation and response to the error.
D. Removing the IV catheter may be necessary if the infusion needs to be stopped, but it does not address the need to document and report the error to prevent future occurrences and ensure patient safety.

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A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?

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